DEPARTMENT OF INSURANCE

Affiliations

Name	Lane, Jack G	DOIID	851343	NAIC NPN	17222913

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	2/5/2016	4/30/2027
Active	Non Resident	Agent	Casualty	2/5/2016	4/30/2027
Active	Non Resident	Agent	Health	9/10/2014	4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/12/2014	7/8/2021
Inactive	Aetna Health Insurance Company	301583	Agent - Health	9/12/2014	7/6/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/18/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	9/18/2026
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/30/2014	4/21/2015
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/10/2014
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/21/2026
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/12/2014	7/8/2021
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	3/17/2016
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Property	3/17/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/26/2016	12/30/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/12/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/12/2014	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/12/2014	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/12/2014	6/8/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	6/21/2016	12/21/2018
Active	SilverScript Insurance Company	663526	Agent - Health	9/18/2026
Active	USAA Casualty Insurance Company	300995	Agent - Casualty	3/17/2016
Active	USAA Casualty Insurance Company	300995	Agent - Property	3/17/2016
Active	USAA General Indemnity Company	300131	Agent - Casualty	3/17/2016
Active	USAA General Indemnity Company	300131	Agent - Property	3/17/2016
Active	USAA Life Insurance Company	300734	Agent - Health	9/8/2026
Active	United Services Automobile Association	300158	Agent - Casualty	3/17/2016
Active	United Services Automobile Association	300158	Agent - Property	3/17/2016
Active	Vision Service Plan Insurance Company	300526	Agent - Health	10/16/2014
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019	5/13/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TTEC Healthcare Solutions, Inc.	814587	Agent - Health	9/29/2014	6/8/2020
Active	Ttec Financial Services Management LLC	881063	Agent - Property	3/17/2016
Active	Ttec Financial Services Management LLC	881063	Agent - Casualty	3/17/2016